Nancy,
It has to become normal but that doesn't mean sex of some form is being ignored but dressing has much less to do with it .
I will add normal doesn't mean it becomes boring as it is part of my way of life now , I'm very happy with the life it's given me , I've found I've lost very little and gained so much .
Jean,
You make a very good point , people come to expect it and would possibly be disappointed if I reversed roles again , in fact I've been told that they prefer me as Teresa .
Karen,
It depends how bad your dysphoria is , so to me it isn't exhausting , OK I totally shave everyday and apply makeup everyday but you don't have to go OTT , the trick is how little rather than too much .